Obesity and Metabolic Disease

Medical Weight Management

2017 – 2019

Medical weight management utilizes a well-established monthly shared medical appointments (SMAs) program addressing nutrition education, cardiovascular fitness, sleep hygiene, stress management, and the use of anti-obesity medications. The medical weight management program began in August 2014 with a focus on 3 eating patterns: meal replacement, Mediterranean, and protein-sparing modified fast. In 2019 the meal replacement and Mediterranean eating patterns were consolidated into a Mediterranean-style lifestyle program, and the protein-sparing modified fast was transitioned to a ketogenic meal plan.

Meal ReplacementMediterranean-styleKetogenic
N =56430199
Average months in program9.516.613.5
Ended program45233137
Switched to other diet111013

Six hundred and fifty individual patients participated in one or more diets in the three years 2017 – 2019. Participants in meal replacement diet who switched diets or left the program prior to 2019 are displayed in a separate category. Participants in a protein-sparing modified fast are included in the ketogenic diet category. Those in the meal replacement or Mediterranean diets when the programs were combined in 2019 are in the Mediterranean-style category.

Medical Weight Management Program Weight Loss

N = 650

In the three years 2017–2019 inclusive, 67% of patients active in the program for at least 3 months (437 of 650) lost at least some of their body weight. Thirty-eight percent (N = 248) lost at least 5% of their starting body weight. Patients that lost between 5-9% stayed in the program an average of 15.2 months while those that lost more than 15% (patients who lost the most weight) stayed an average of 23.9 months. Mean entry weight was 250 pounds. Current program duration averages 14.0 months.